Suchergebnisse

In the past decade, an environmental health movement has developed, & a number of medical social movement organizations (MSMOs) participate in efforts to promote sustainability & protect the environment. Physicians have organized as part of the larger peace & social justice movements since the mid 1800s. While these larger movements are the subjects of substantial historical & sociological research, there is no scholarship about contemporary MSMOs. In particular, contributions from such scholarship are noticeably absent in discussions of the current crisis of medical professionalism. Physicians & their medical organizations have limited understandings of social movements, activist roles, & medicine, as the profession has not found solidarity with other classes & groups in pursuit of environmental health, human rights, or universal access to health care. Physicians for Social Responsibility, Physicians for Human Rights, & Physicians for a National Health Program are important exceptions. 54 References. [Copyright 2002 Sage Publications, Inc.]

Pesticide manufacturers have tested pesticides increasingly in human volunteers over the past decade. The apparent goal of these human studies is to establish threshold levels for symptoms, termed "no observed effect levels." Data from these studies have been submitted to the U.S. Environmental Protection Agency (EPA) for consideration in standard setting. There are no required ethical guidelines for studies of pesticides toxicity conducted in humans, no governmental oversight is exercised, and no procedures have been put in place for the protection of human subjects. To examine ethical and policy issues involved in the testing of pesticides in humans and the use of human data in standard setting, in February 2002 the Center for Children's Health and the Environment of the Mount Sinai School of Medicine convened an expert workshop for ethicists, physicians, toxicologists, and policy analysts. After a peer consensus process, participants developed a number of ethical and public policy recommendations regarding the testing of pesticides in humans. Participants also strongly encouraged active biomonitoring of every pesticide currently in use to track human exposure, particularly in vulnerable populations, and to assess adverse effects on health.